5 Community Partners Supporting HCSC Dual Eligibles Care Coordination

From 'street case managers' that help locate and engage the homeless to tribal leaders who are liaisons to the Native American population, Health Care Service Corporation (HCSC) has assembled a dream team of community partners to support care coordination of dual eligibles.

Community mental health centers, public health agencies and community agencies round out the cadre of care coordination supports for Medicare-Medicaid beneficiaries, explained Julie Faulhaber, HCSC's vice president of enterprise Medicaid during a recent webinar, Moving Beyond the Medical Care Coordination Model for Dual Eligibles.

Julie Faulhaber

This safety net for dual eligibles is a hallmark of three duals care coordination models launched by HCSC in 2014—two in New Mexico and one in Illinois. Results from a home-grown health risk assessment, or HRA, (conducted telephonically in almost all cases) enables HCSC to risk-stratify duals and refer them to appropriate care teams.

Other care coordination elements include interdisciplinary teams, a whole-person rather than diagnosis-driven focus and novel care and services planning that encourages out-of-the box thinking — like the installation of a grab bar in the home of a senior somewhat unsteady on her feet.

"Putting in a grab bar might cost $150 to $200, but when you think about that in terms of having that member have a fall and having them hospitalized and the rehab cost, it just makes sense for the member's quality of life and comfort to know that there is something there to help them," noted Ms. Faulhaber.

In case you missed this webinar, you still have a chance to watch this highly-rated program.

Register to view the conference today or order your training DVD or CD:
http://store.hin.com/product.asp?itemid=4824

You can "attend" this program right in your office and learn about how HCSC finds and engages dual eligibles, care coordination stratification, care and service planning, developing care coordination teams and community partners, working with people with disabilities and overcoming roadblocks.

It’s so convenient! Invite your staff members to watch the conference. We will send you a DVD or CD-ROM of the conference proceedings or a link to our web site with a username and password. You can log in and view the program right from your computer — any time of the day or night, whenever convenient for you and your colleagues — and benefit from the archived recording of the conference, including the Q&A period.

You'll get to listen to the question and answer session to hear how HCSC assesses risk in its dual eligible population, conducts home visits among high-risk members and screens for behavioral health concerns among dual eligibles, along with details on data analytics strategies to find members and coordinate their care, HRA completion rates, options to explore when telephonic outreach to members is not effective, addressing transportation challenges and strategies to bridge the gap between behavioral health and medical care.

To register for the on-demand re-broadcast, download an .MP3 file or order the training DVD or CD-ROM of Moving Beyond the Medical Care Coordination Model for Dual Eligibles, please visit:
http://store.hin.com/product.asp?itemid=4824

I hope you find it useful.

Cordially,

Melanie Matthews
Executive Vice President
The Healthcare Intelligence Network

P.S. -- You may also be interested in these resources on dual eligibles: